| Impackt Physical Therapy And Sports Recovery | |
|
11531 S District Dr Ste 1200, South Jordan, UT 84095-5782 | |
| (949) 350-6370 | |
| Not Available |
| Full Name | Impackt Physical Therapy And Sports Recovery |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 11531 S District Dr Ste 1200, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336413798 | NPI | - | NPPES |
| 2774652-2401 | Other | UT | UTAH DEPARTMENT OF COMMERCE DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING |
| Provider Name | Brodie James Pack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871578203 PECOS PAC ID: 0244126613 Enrollment ID: I20040223001311 |
| Mailing Address | Practice Location Address |
|---|---|
| Impackt Physical Therapy And Sports Recovery 11531 S District Dr Ste 1200, South Jordan, UT 84095-5782 Ph: (801) 260-3100 | Impackt Physical Therapy And Sports Recovery 11531 S District Dr Ste 1200, South Jordan, UT 84095-5782 Ph: (949) 350-6370 |
Clayton Daniel Powers, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84009 Phone: 801-213-4500 | |
Todd Harold Schmidt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3785 W 10400 S Ste 104, South Jordan, UT 84095 Phone: 801-673-4430 | |
Elizabeth Junk, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-5275 Fax: 801-213-5077 | |
Jared Moser, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 | |
Matthew Carter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10376 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-619-3670 | |
Matthew Jerry Hobbs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S Ste 200, South Jordan, UT 84095 Phone: 801-676-2210 Fax: 801-676-2212 | |
Christine Ulses, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Phone: 801-254-5800 Fax: 801-254-1696 |